MTL - Path of Medicine With a System-v2 Chapter 1934 make a mistake

  Chapter 1934 Mistakes while busy

  Hua Guo has long had a simple saying to sum up life experience: Do not go to the fight, do not look at the woodcutter. Although it has a taste of Hinayana Buddhism, it is no problem for ordinary people to live at home.

  Medical nurses in the city gathered from all directions like ants. Those who have a car are more convenient, but those who don't have a car will be a little troublesome on the first day of the new year. Especially if you live in a remote place, it is even more tangled.

  Chasu is still a small place after all, and the pressure on people is not as heavy as in big cities. For example, for taxis, after paying four to five hundred management fees a month, there is only gas left over. There is no share money. The taxi drivers here live a very comfortable life. They only smoke from Yuxi, and they don’t smoke from Honghe.

  If you don’t want to go out of the car today, you don’t get out of the car. When it’s Chinese New Year, you just throw away the keys and go drink with your friends.

   And the most important thing is that housing prices are low, and the pressure of life is really not as urgent as in big cities.

In the past two years, because of the Tea Su Hospital, the housing prices around the hospital have been rising day by day. It is said that the latest real estate has already gone for more than 20,000 yuan, but the housing prices in other places are still 5,000 to 6,000, or even a little further away. Four thousand is also a lot.

  Many experts said that Zhang Fan didn't understand what would be affected by too low housing prices, but in such a small city with low housing prices, even people's personalities are relatively tolerant.

Wang Yanan was still sleeping in when he answered the phone. It was a little easier for only a few days a year. When he received the call, Wang Yanan looked like a bandit with a disheveled face. If something happens, you can eat something before you go, one less you is a lot, and one more you is not much."

  Wang Yanan turned a deaf ear, looking for something, while pushing the old lady who was in the way aside.

   Then the door didn't close and ran away in a gust of wind.

But now Wang Yanan's old lady is much better than before. After all, Wang Yanan is already in love. Her old lady is not very satisfied with the young man, but she dare not object. Although her daughter has been called by Director Wang, she understands that her daughter Now it is the level of making fried rice with eggs.

  Watching Wang Yanan run away like a wind, her old mother stood at the door sadly: "How will I live in the future!"

The doctors and nurses who don’t have a car at home are unlucky if they can’t get a taxi. Riding a bicycle against the cold wind, the heat is blowing from the head, but the hands and feet are so cold that you can’t feel it. This is the serious duality of ice and fire. sky.

  Zhang Fan and his 120 dragged the bumper and rushed to the scene of the incident immediately.

  Zhang Fan immediately asked the driver to call 110, and asked them to send someone over to organize the crowd to disperse in an orderly manner.

  The most feared thing about this kind of group event is stampede, and the most vulnerable are women and children wearing high heels. Crying and shouting on both sides of the bridgehead, "Quickly, determine the casualties as soon as possible."

   After Zhang Fan finished speaking, he asked several nurses above 120 to scatter to look for seriously injured patients.

   When Zhang Fan was standing by the bridge with the first aid kit, he was secretly worried.

  The bridge deck is four to five meters high. Regardless of the height, it seems to be nothing. It is almost 20 degrees below zero, and it is still on the ice. The slopes of the embankments on both sides are as high as a right angle.

   Zhang Fan looked at and listened to the patients lying on the ice, and gritted his teeth. When he was about to go down, a few young men who were not injured ran over from the ice. "Don't jump, don't jump, it's too slippery and easy to get hurt, come on, let's support you!"

   "Good!" Zhang Fan glanced at them gratefully.

When Zhang Fan was slowly groping to get off, a few men who were watching the excitement on both sides of the bridge appeared and shouted loudly: "It's the gentlemen, go up and help, the doctors are not afraid, let's What are you afraid of, go!"

   Hulala, Hulala, a group of men rolled up their sleeves, rushed over, pulled Zhang Fan down. Zhang Fan didn't use much force, the people above dragged him and the people below supported him, and he easily descended to the ice.

  Zhang Fan didn't have time to thank him, so he hurriedly looked at the wounded first.

   At this time, it is quite a matter of experience to select and check the severity of the wounded.

   Zhang Fan first looked at the first woman who fell from the bridge, because although the other people screamed tragically, depending on their mental state, although this kind of shouting sounds penetrating, it is not fatal.

   It is often the one who keeps silent, which is the most troublesome.

  Zhang Fan patted the woman twice, but the woman in the red wool coat didn't respond at all. The carotid artery was present, but there was no obvious bleeding, and blood pressure was measured immediately. When the blood pressure was shocked, Zhang Fan immediately lifted the woman's clothes, and the left lower abdomen was obviously bruised.

   Now Zhang Fan immediately judged that there was something wrong with the female organ, but he couldn't determine which organ in the female had the problem.

   According to the proportion, the most prone to problems at this height and this state is the spleen, but it does not discharge the small intestine, colon, or even the stomach and liver. "Contact rescue aircraft immediately."

  In the rescue regulations, countries are not the same in principle because of their different national conditions.

  For example, some rich and small countries in Europe and the United States believe in the principle of copying and running. In my country, there is also a golden retriever with the concept of rescue on the spot. Because the country is small and rich, the emergency centers are denser, the emergency radius is small, and helicopters are widely used, so it is more suitable for them to copy and run.

   But our country is different. The pre-hospital rescue model in the vast area is estimated to need to be maintained for a long, long time.

  Although the Chasu Hospital is developing quite rapidly, how big is Chasu? If you count the neighbors and the desert, it is bigger than Jiangsu, Zhejiang and Fujian combined.

   You have to choose which one is better, it’s better to copy it and run it, but medical treatment is a matter of tailoring, and you can’t afford it without a certain amount of capital. For example, Wanzi Kingdom still can’t afford this model.

"Comrades, comrades, thank you, thank you, there are too many people here now, please leave in an orderly manner, leave in an orderly manner, leaving a few young men is enough, there can't be too many people." As more and more people descended onto the ice, Zhang Fan's heart shrank. Don't wait for the ice to collapse. In this season, it may be too late to rescue people, and people will freeze into popsicles.

   And in any first aid situation, the degree of confusion is a function of the cube of the number of people involved.

  Hua people, especially the people of Hua, will never lack warm-hearted people. It's all nonsense that Chinese people don't have faith, that Chinese people can't have great love, and so on. Either the literati and poets sat in the study and masturbated, or the leading party who took the money deliberately smeared.

  Look at the time when the capital was on fire, a group of riders desperately sent things up the mountain. Look at the time of the Sanchuan earthquake, the dark convoys headed for the disaster area without hesitation.

  What are they for? For three two three?

  It is often the meat-eating people who are extremely dark in their hearts. Moreover, the rapid economic development in recent years coupled with the explosion of the Internet has caused people to lose some direction. For example, Zhang Fan and the others grew up watching mine warfare in tunnels when they were young.

  Although the elements of interpretation are relatively large, but the spirit is sufficient, but now, the rich are the national husbands, and wearing the pillow costumes of the Maruko Kingdom is a trend, maybe Zhang Fan is narrow-minded!

  110 finally came, and 119 also came carrying a long ladder.

  The crowd was slowly diverted.

  The two most seriously injured at the scene, one is a woman who fell off the bridge, and the other is an old man who was trampled on.

   Already in a state of shock.

  The other wounded were relatively mild, but although they were not fatal, the pain was more severe.

   After bursts of morphine injections were injected, the wailing sound gradually died down.

  Huahua from Chasu Hospital was suspended in the air ploppingly. With the help of the boys from 119, they slowly pulled the two wounded up.

   "Hurry up, go back to the hospital."

  In the orthopedic operating room, a group of orthopedic surgeons have already started the operation.

  A row of operating rooms, all ankle fractures.

   "What's the situation?" When Zhang Fan rushed back, the operation room had already started.

   "Ruptured spleen!" Bayin quickly explained the situation of the female patient.

  After hearing this, Zhang Fan immediately turned his head and went to another operation, "How is it?"

  "Rib fracture, pneumothorax, atelectasis. No obvious intracranial hemorrhage."

  After saying this, Zhang Fan breathed a sigh of relief.

  For ordinary people, the rupture of the spleen and pneumothorax seem to be serious.

  But in the hospital, this kind of injury is nothing special.

  Cha Su’s leader has rushed to the hospital.

  Seeing Zhang Fan, Cha Su's second child sighed and asked.

   "Hey, how did this happen, how did this happen, the bridge is fine, and no damage was seen, but after investigation, someone shouted that the bridge had collapsed, which led to a large area of ​​stampede."

  Zhang Fan has nothing to say, what can he say.

  He is not good at this kind of thing either.

   Before the two of them could say a word, Bayin nervously pushed open the door of the operating room aisle, and shouted at Zhang Fan: "Yuan Zhang, the female patient is dying."

  Zhang Fan couldn't care about his second child anymore, so he turned around and ran into the operating room.

"what happened?"

  It turned out that after the patient was admitted to the hospital, because of shock, he only underwent a color ultrasound abdominal examination in the operating room, and found that there was more than 2500ml of fluid. At that time, an abdominal puncture was performed, and the non-clotting blood was drawn out, because the patient's condition was urgent and there was no time for other examinations.

   Even the physical examination was too late, and the operation was started directly with general anesthesia and intubation.

  At the beginning of the operation, there was no obvious abnormality, but a ruptured spleen, just when the spleen was about to be removed.

  The patient's blood oxygen drops suddenly, and the heart rate and blood pressure are directly pressure-regulated drops.

  It turned out that the patient had lung contusion, and after positive pressure ventilation with endotracheal intubation, the closed pneumothorax was directly changed into a tension pneumothorax.

  In human terms, a closed pneumothorax is actually like a person suddenly going up from the sea level to the foot of Mount Everest.

  Although you hold your breath, you won't suffocate.

  Tension pneumothorax is directly covered with a fairly good quality plastic bag for the patient.

   This is a real case

   In reality, the operation lasted 30 minutes, and the patient experienced a drop in blood pressure, blood oxygen, and heart rate, and emergency measures such as external cardiac compression were immediately given.

   After one and a half hours, the patient died.

  (end of this chapter)